TYJUAN VIDAL TYLER NPI 1003388877

NPI Information

Tyjuan Vidal Tyler is an attendant care provider technician in Las Vegas, NV. The provider is an individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. Tyjuan Vidal Tyler NPI is 1003388877. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2881 S VALLEY VIEW BLVD
LAS VEGAS, NV
ZIP 89102-100
Phone: (702) 253-9474

The enumeration date for this NPI number is 12/18/2018 and was last updated on 12/18/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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